Lipid Panel, Non-Fasting without Triglycerides

Test Code
91247


CPT Codes
82465, 83718

Includes
Cholesterol, Total
HDL Cholesterol
Cholesterol/HDL Ratio (calculated)
Non-HDL Cholesterol (calculated)


Preferred Specimen
1 mL serum


Patient Preparation
The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine (NAC), when administered in therapeutic concentrations (for the treatment of acetaminophen overdose), has been...determined to interfere with assays for... Cholesterol, Uric Acid" where "NAC interference may lead to falsely low results." According to Beckman Coulter, the NAC interference should be insignificant by 12 hours after completion of the initial loading dose of an IV infusion treatment regimen consisting of an initial loading dose of 150 mg/kg administered over 1 hr, a second dose of 50 mg/kg administered over 4 hrs and a third dose of 100 mg/kg administered over 16 hrs.

Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma collected in sodium heparin or lithium heparin (green-top) tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Serum
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days

Heparinized plasma
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Anticoagulants other than heparin • Moderate to gross icterus


Methodology
Spectrophotometry (SP)

Setup Schedule
A.M. Sets up 5 days a week.


Report Available
Reports in 2 days.


Clinical Significance
This Lipid Panel includes Total Cholesterol, HDL Cholesterol and calculated non-HDL Cholesterol. It does not include triglycerides and may be best used in patients for whom fasting is difficult.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.